Provider profile

Individual

Jon Gabriel Ellison

Radiology in La Mesa, CA. NPI 1760630669, listed in the CMS NPI Registry since 09/04/2008. Bills Medicare.

NPI 1760630669Specialty RadiologyEnumerated 09/04/2008
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Registry and Medicare facts

Practice location
7777 Alvarado Rd Ste 108, La Mesa, CA 91942
CMS NPI Registry
Phone
(619) 460-2774
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
09/04/2008
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,991 Part B
CMS Medicare 2024

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